Organization Active NPI

Princeton Home and Primary Care PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princeton Junction, NJ
National Provider Identifier
1508963786
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MA64882 Issued in NJ
Legal business name
PRINCETON HOME AND PRIMARY CARE PC
Practice address
8 Marian Dr
Princeton Junction, NJ 08550-3541
Phone
(609) 936-0958
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jill F Schwartz-Chevlin, M.D.
Title
President, Owner
Phone
(609) 936-0958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X MA64882 NJ Primary

Addresses

Primary practice location

8 Marian Dr
Princeton Junction, NJ 08550-3541

Mailing address

8 Marian Dr
Princeton Junction, NJ 08550-3541
Phone (609) 936-0958

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508963786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARIAN DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503541",
            "telephone_number": "609-936-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARIAN DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085503541",
            "telephone_number": "609-936-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON HOME AND PRIMARY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ-CHEVLIN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "609-936-0958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "MA64882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.